Evaluate the Effects of Dapagliflozin in Patients With Type 2 Diabetes (Cinétique DAPA)
Effects of Dapagliflozin on Lipoprotein Kinetics in Patients With Type 2 Diabetes
This study will make it possible to better understand the mechanisms responsible for the increase in bad cholesterol levels observed in patients with type 2 diabetes treated with Dapagliflozin, an antidiabetic treatment made by Astrazeneca.
The information will:
- reveal what is not working properly
- make it possible to choose the most appropriate treatments against cholesterol to compensate for this impaired functioning
This biomedical research will take place at the University Hospitals of DIJON and NANTES.
- 28 patients will take part: 20 patients will be given Dapagliflozin and 8 patients will be given the placebo.
- The study treatment will be randomised: patients will be given either Dapagliflozin or the placebo. The treatment duration is 6 months.
- Moreover, during the inclusion visit and at the end of the study (6 months after the start of treatment), a kinetics study, to follow the production and elimination of cholesterol, will be conducted. This will involve administering amino acids that have been specifically synthesised for this purpose.
- Participation in the study will last 6 months and include 4 protocol visits.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Bruno VERGES
- Phone Number: +33 03.80.29.38.54
- Email: bruno.verges@chu-dijon.fr
Study Locations
-
-
-
Dijon, France, 21079
- Chu Dijon Bourgogne
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- persons who have provided written consent
- type 2 diabetes treated with OAD (metformin and/or sulfonylurea and/or glinides and/or acarbose and/or DPPIV inhibitors)
- Stable treatment for 3 months
- HbA1c between 7.5% and 10%
- Age between 30 and 65 years
- BMI between 25 and 35 kg/m²
- Triglycerides < 300 mg/dl
- Half of the patients being treated with statins
- eGFR > 75 ml/min/1.73 m² at inclusion
Exclusion Criteria:
- persons without national health insurance cover
- patients treated with Insulin or a GLP-1 agonist
- Patients under guardianship
- patients treated with lipid-lowering drugs (except statins for 50% of patients)
- kidney failure
- liver failure or abnormal liver function ASAT or ALAT >3 x upper limit of normal
- total bilirubin >2mg/dl
- intestinal disease
- serological evidence of an active liver infection (surface antigen of hepatitis B, hepatitis C antibodies, hepatitis B IgM antibodies)
- Pregnancy, breastfeeding
- hypersensitivity to the active substance or to excipients
- patients with volume depletion, for example due to an acute disease (gastro-intestinal disease)
- patients treated with loop diuretics or thiazides
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Patients not treated with statins
|
Dapagliflozin 10 mg daily per os
Placebo of Dapagliflozin per day per os
|
|
Experimental: Patients treated with statins
|
Dapagliflozin 10 mg daily per os
Placebo of Dapagliflozin per day per os
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from baseline the rate of production of VLDL Apo B
Time Frame: 15 days before treatment initiation, Day 0, Day 90 and Day 180
|
15 days before treatment initiation, Day 0, Day 90 and Day 180
|
|
Change from baseline the rate of production of IDL Apo B
Time Frame: 15 days before treatment initiation, Day 0, Day 90 and Day 180
|
15 days before treatment initiation, Day 0, Day 90 and Day 180
|
|
Change from baseline the rate of production of LDL Apo B
Time Frame: 15 days before treatment initiation, Day 0, Day 90 and Day 180
|
15 days before treatment initiation, Day 0, Day 90 and Day 180
|
|
Change from baseline the rate of production of HDL Apo A1
Time Frame: 15 days before treatment initiation, Day 0, Day 90 and Day 180
|
15 days before treatment initiation, Day 0, Day 90 and Day 180
|
|
Change from baseline the Fractional Catabolic Rate of VLDL1 Apo B
Time Frame: 15 days before treatment initiation, Day 0, Day 90 and Day 180
|
15 days before treatment initiation, Day 0, Day 90 and Day 180
|
|
Change from baseline the Fractional Catabolic Rate of VLDL2 Apo B
Time Frame: 15 days before treatment initiation, Day 0, Day 90 and Day 180
|
15 days before treatment initiation, Day 0, Day 90 and Day 180
|
|
Change from baseline the Fractional Catabolic Rate of IDL Apo B
Time Frame: 15 days before treatment initiation, Day 0, Day 90 and Day 180
|
15 days before treatment initiation, Day 0, Day 90 and Day 180
|
|
Change from baseline the Fractional Catabolic Rate of LDL Apo B
Time Frame: 15 days before treatment initiation, Day 0, Day 90 and Day 180
|
15 days before treatment initiation, Day 0, Day 90 and Day 180
|
|
Change from baseline the Fractional Catabolic Rate of HDL 'Apo A1
Time Frame: 15 days before treatment initiation, Day 0, Day 90 and Day 180
|
15 days before treatment initiation, Day 0, Day 90 and Day 180
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- VERGES AZ 2015
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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